Testicular Discomfort: When to Seek Medical Attention - Urology

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Testicular discomfort can be concerning, especially when accompanied by changes in size or the presence of unusual masses. Based on your description, it seems that you are experiencing some discomfort in your right testicle, which appears to be larger during erections, and you have noticed a soft mass beneath it. It is essential to understand the potential causes of these symptoms and when to seek medical attention.

First and foremost, testicular discomfort can arise from various conditions, some of which may require immediate medical attention. Common causes of testicular discomfort include:
1. Epididymitis: This is an inflammation of the epididymis, the tube that carries sperm from the testicle. It can cause swelling, pain, and discomfort, particularly during erections or physical activity. Epididymitis can be caused by infections, including sexually transmitted infections (STIs).

2. Testicular Torsion: This is a medical emergency where the spermatic cord becomes twisted, cutting off blood supply to the testicle. Symptoms include sudden, severe pain, swelling, and sometimes nausea. If you experience severe pain that comes on suddenly, you should seek immediate medical attention.

3. Hernia: An inguinal hernia occurs when tissue, such as part of the intestine, protrudes through a weak spot in the abdominal muscles. This can cause discomfort and may be felt as a lump in the groin or scrotum.

4. Varicocele: This is an enlargement of the veins within the scrotum, which can cause a feeling of heaviness or discomfort, especially during physical activity or prolonged standing.

5. Hydrocele: This is a fluid-filled sac surrounding a testicle, which can cause swelling and discomfort. Hydroceles are usually painless but can cause discomfort if they become large.

6. Tumors: Although less common, testicular tumors can present as a lump or swelling in the testicle. Any new mass or change in the testicle should be evaluated by a healthcare professional.

Given your symptoms of discomfort, swelling, and the presence of a soft mass, it is advisable to seek medical attention. A healthcare provider will likely perform a physical examination and may order an ultrasound to assess the structure of the testicles and surrounding tissues. This imaging can help determine the cause of your symptoms and guide appropriate treatment.

In summary, while some causes of testicular discomfort may be benign, others can be serious and require prompt medical intervention. It is always better to err on the side of caution when it comes to symptoms involving the testicles. If you are experiencing persistent discomfort, changes in size, or any unusual masses, please schedule an appointment with a healthcare provider as soon as possible. Early evaluation and treatment can help prevent complications and ensure your overall health and well-being.